Active NPI
Jenna Gaw, DDS
- Endodontics
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 19032497
- Practice address
- 808 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4836 - Phone
- (925) 285-2411
- NPI assigned
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN4391 | ME | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 004031 | OH | |
| Endodontics | 1223E0200X | 19032497 | IL | Primary |
Addresses
Primary practice location
808 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4836
Mailing address
1724 Locust PL Apt 303
Schaumburg, IL 60173-4239
Phone (925) 285-2411
Other practice location 1
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (925) 285-2411
Other practice location 2
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (925) 285-2411
Other practice location 3
220 Alamo Plz
Alamo, CA 94507
Phone (925) 285-2411
Other practice location 4
2124 Cornell Rd # Doa31A
Cleveland, OH 44106
Phone (925) 285-2411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19032497 | IL | MD | Endodontist |
| 004031 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenna Gaw, DDS, PLLC | Endodontics | Current | Accepting new patients |
| Jenna Gaw, DDS, PLLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endodontics
- Hoffman Estates, IL
- NPI 1467319087
-
- Dental Clinic/Center
- Hoffman Estates, IL
- NPI 1780283267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1003223660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 LOCUST PL APT 303",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734239",
"telephone_number": "925-285-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 E WOODFIELD RD STE 300",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734836",
"telephone_number": "925-285-2411"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "925-285-2411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 Old York Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "925-285-2411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Alamo Plz",
"address_purpose": "LOCATION",
"city": "Alamo",
"state": "CA",
"postal_code": "94507",
"country_code": "US",
"telephone_number": "925-285-2411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2124 Cornell Rd # Doa31A",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44106",
"country_code": "US",
"telephone_number": "925-285-2411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAW",
"first_name": "JENNA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4391",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "004031",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": "19032497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.